Skin provides an attractive organ system for exploring coordinated regulati
on of keratinocyte (KC) proliferation, differentiation, senescence, and apo
ptosis, Our main objective was to determine whether various types of cell c
ycle arrest confer resistance to apoptosis, We postulated that KC cell cycl
e and cell death programs are tightly regulated to ensure epidermal homeost
asis, In this report, simultaneous expression of cyclin-dependent kinase in
hibitors (p15, pig, p21, and p27), a marker of early differentiation (kerat
in I), mediators of apoptosis (caspases 3 and 8), and NF-kappa B were analy
zed in three types of KCs, By comparing the response of proliferating, sene
scent, and immortalized KCs (HaCaT cells) to antiproliferative agents follo
wed by UV exposure, we observed: 1) Normal KCs follow different pathways to
abrupt cell cycle arrest; 2) KCs undergoing spontaneous replicative senesc
ence or confluency predominantly express pie; 3) Abruptly induced growth ar
rest, confluency, and senescence pathways are associated with resistance to
apoptosis; 4) The death-defying phenotype of KCs does not require early di
fferentiation; 5) NF-kappa B is one regulator of resistance to apoptosis; a
nd 6) BaCaT cells have undetectable p16 protein (hypermethylation of the pr
omoter), dysfunctional NF-kappa B, and diminished capacity to respond to an
tiproliferative treatments, and they remain highly sensitive to apoptosis w
ith cleavage of caspases 3 and 8. These data indicate that KCs (but not HaC
aT cells) undergoing abruptly induced cell cycle arrest or senescence becom
e resistant to apoptosis requiring properly regulated activation of NF-kapp
a B but not early differentiation.